Treatment experiences of pelvic bone hydatidosis

Abstract

Patients must be treated at the early stages of the disease. Total exeresis and individual reconstruction is necessary when osseous and soft tissue involvement is not extensive. Internal fixation should not be used when surgical eradication is uncertain.

Radiotherapy of osseous echinococcosis: where is the evidence?

“…Recently, Liang et al reported a case series of nine patients with pelvic bone CE of whom two were treated with adjunct radiotherapy (cumulative dose 69 Gy in 23 fractions over 30 days) along with multiple surgical procedures and medical treatment. 21 No recurrence was observed over a followup of 4 and 6 years. However, as recurrence of disease may occur with considerable delay, follow-up needs to be conducted over many years, if not decades, to judge treatment efficacy.…”

An Uncommon Cause of Soft Tissue Mass of the Extremities, Report of 2 Cases and Review of Literature of Cystic Echinococcosis

“…Solitary hydatid disease initially was not considered in the differential diagnosis primarily because of its sporadic occurrence in Austria (2009-2014: 7,2 reported cases per year) [3]. Most infections are diagnosed in immigrants from countries where this zoonosis is endemic such as the Mediterranean region [4,5].…”

Giant hydatid cyst of the pelvis, femur and retroperitoneal space: surgical treatment with extended hemipelvectomy

“…Chronic infections of the bone, such as tuberculosis, as well as benign and malignant tumours, are considered in the differential diagnosis. Patients can be misdiagnosed even in endemic regions 3. Clearly, in Western countries where clinical suspicion is very low, this risk is even higher, especially taking into consideration the increasing immigration from endemic areas.…”

“…However, most patients refuse amputation and are subject to less radical surgery, such as debridement, which is often combined with the use of local adjuvants such as hypertonic saline, formalin, phenol and polymethylmethacrylate 2 7. Osteosynthesis of pathological fractures and reconstruction with prosthesis has been described, when limb-sparing surgery is chosen 2 3 8. Collectively, amputation has been used in less than 1% of bone hydatidosis, mainly because the majority of patients present with limited disease.…”